Individual
JOHANNAH RENEE YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
85 W HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-1283
(505) 465-3060
(505) 591-0304
Mailing address
PO BOX 340, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3060
(505) 591-0304
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-03377
NM
Other
Enumeration date
09/15/2017
Last updated
10/18/2024
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